Minimal invasive surgery to repair diaphragmatic injuries
Cirugía mínimamente invasiva en las reparaciones de las lesiones diafragmáticas.
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Objectives: Review our experience with an alternative video laparoscopy for repair of diaphragm injuries.
Patients and Methods. All consecutive patients with diaphragm injuries treated at general service surgery N 1. university Central of Venezuela during the period from July 15,1996, through November 2003, were reviewed. The diagnosis of the diaphragm injury was either obvious. Repair was performed using standard surgical instruments.
Results. A total 36 patients underwent successful laparoscopy repair. 83,33% men and 16,67% women with an average age of 35 years (range 23-48). The average Revised Trauma score (APACHE II) was 11. There were 91,66% grade II and 8,34% grade III diaphragm injuries. The mean operative time was 58 minutes ( range 20-100) and the average hospital stay from the time of surgery to the time of discharge was 2.5 days (range 1-5 days ). The procedure failed in 9
Conclusion: Laparoscopy repair of diaphragm injuries using video is a feasible option with minimal morbidity and mortality.
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